Experiencias de cuidado en las pérdidas del embarazoTriangulación metodológica entre estudios meta etnográficos y empírico
- 1 Universidad de A Coruña, España
ISSN: 2184-7770
Year of publication: 2022
Issue: 13
Type: Article
More publications in: New Trends in Qualitative Research
Abstract
Introduction: Involuntary pregnancy loss is a relatively common event, especially in the clinical practice of midwives and nurses. The care provided by health professionals, and especially nurses and midwives, is crucial for the short- and long-term well-being of parents. However, health personnel report how unprepared they are and how stressful and demanding it is the care for these losses. In order to know the experiences of nurses and midwives in the care of involuntary pregnancy loss, two studies were developed, one with a meta-ethnographic methodology (qualitative meta-synthesis), and another inspired by the phenomenological hermeneutic design (empirical study), methodologically triangulating the general objective. Goals: This manuscript intends to show and reflect on the use of methodological triangulation, between a meta-ethnographic study and an empirical one, to know the experiences of care in pregnancy losses. Methods: The development of meta-ethnography followed the seven phases described by Noblit and Hare (1988), and the phenomenological hermeneutic study was inspired by the work of Lindseth and Norberg (2004). Results: Nurses and midwives who cared for parents who have suffered an involuntary pregnancy loss, faced difficulties that required leaving their comfort zone. This caused them not to get emotionally involved with parents and that, if they did, the care was based on their intuition. Conclusions: The methodological triangulation has allowed us to have greater confidence in the credibility of the study findings. Both studies informed the body of knowledge in nursing sciences and promote a change in clinical practice, since the results show the complexity of the experience of nursing and midwifery care in involuntary pregnancy loss.
Bibliographic References
- Andipatin, M. G., Naidoo, A. D., & Roomaney, R. (2019). The hegemonic role of biomedical discourses in the construction of pregnancy loss. Women and Birth. https://doi.org/10.1016/j.wombi.2019.03.006
- Arman, M., & Rehnsfeldt, A. (2006). The Presence of Love in Ethical Caring. Nursing Forum, 41(1), 4-12. https://doi.org/10.1111/j.1744-6198.2006.00031.x
- Arman, M., & Rehnsfeldt, A. (2007). The `Little Extra' That Alleviates Suffering. Nursing Ethics, 14(3), 372-386. https://doi.org/10.1177/0969733007075877
- Begley, C. (2003). 'I cried... I had to...': student midwives' experiences of stillbirth, miscarriage and neonatal death. Evidence-Based Midwifery, 1(1), 20-27.
- Bolton, S. (2001). Changing faces: nurses as emotional jugglers. Sociology of Health & Illness, 23(1), 85-100. https://doi.org/10.1111/1467-9566.00242
- Bondas, T. (2009). Preparing the air for nursing care: A grounded theory study of first line nurse managers. Journal of Research in Nursing, 14(4), 351-362. https://doi.org/10.1177/1744987108096969
- Bondas, T. (2010). Nursing leadership from the perspective of clinical group supervision: a paradoxical practice. Journal of Nursing Management, 18(4), 477-486. https://doi.org/10.1111/j.1365-2834.2010.01085.x
- Bondas, T. E. (2003). Caritative leadership: ministering to the patients. Nursing administration quarterly, 27(3), 249-253.
- Britten, N., Campbell, R., Pope, C., Donovan, J., Morgan, M., & Pill, R. (2002). Using meta ethnography to synthesise qualitative research: a worked example. Journal of health services research & policy, 7(4), 209-215.
- Dallay, É. G. (2013). Le deuil périnatal de « l’enfant né sans vie ». Annales Médico-psychologiques, revue psychiatrique, 171(3), 182-188. https://doi.org/http://dx.doi.org/10.1016/j.amp.2013.01.017
- Denzin, N. K. (2017). The research act: A theoretical introduction to sociological methods. Routledge.
- Due, C., Chiarolli, S., & Riggs, D. W. (2017). The impact of pregnancy loss on men's health and wellbeing: a systematic review. BMC Pregnancy Childbirth, 17(1), 380. https://doi.org/10.1186/s12884-017-1560-9
- Ellis, A., Chebsey, C., Storey, C., Bradley, S., Jackson, S., Flenady, V., . . . Siassakos, D. (2016). Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences. BMC pregnancy and childbirth, 16(1), 16.
- Eriksson, K. (1994). Theories of caring as health. Caring as healing: Renewal through hope, 3-20.
- Farmer, T., Robinson, K., Elliott, S. J., & Eyles, J. (2006). Developing and implementing a triangulation protocol for qualitative health research. Qualitative health research, 16(3), 377-394.
- Fenstermacher, K., & Hupcey, J. E. (2013). Perinatal bereavement: a principle-based concept analysis. Journal of Advanced Nursing, 69(11), 2389-2400. https://doi.org/10.1111/jan.12119
- Fernández, M. Á. G. (2011). Pérdida de poder de las direcciones de enfermería de Atención Primaria. Enfermería clínica, 21(4), 187-188.
- Fernández, S. (2020). Duelo perinatal: Análisis de las dificultades y de los elementos facilitadores presentes en el afrontamiento familiar (Estudio DPAFIS) [Tesis Doctoral]. Programa Oficial de Doctorado en Ciencias de la Salud. Univ da Coruña. Repositorio Universidade Coruña https://ruc.udc.es/dspace/
- Fernández-Basanta, S., Coronado, C., Bondas, T., & Movilla-Fernández, M.-J. (2021). Primary healthcare midwives’ experiences of caring for parents who have suffered an involuntary pregnancy loss: a phenomenological hermeneutic study. Midwifery, 92, 102863.
- Fernández-Basanta, S., Movilla-Fernández, M.-J., Coronado, C., Llorente-García, H., & Bondas, T. (2020). Involuntary Pregnancy Loss and Nursing Care: A Meta-Ethnography. International Journal of Environmental Research and Public Health, 17(5), 1486.
- Fernández?Basanta, S., Coronado, C., Bondas, T., Llorente?García, H., & Movilla?Fernández, M. J. (2021). Unravelling the grief of involuntary pregnancy loss: A meta?ethnography of midwives’ and nurses’ emotional experiences. Scandinavian journal of caring sciences.
- Flenady, V., Boyle, F., Koopmans, L., Wilson, T., Stones, W., & Cacciatore, J. (2014). Meeting the needs of parents after a stillbirth or neonatal death. BJOG: An International Journal of Obstetrics & Gynaecology, 121(s4), 137-140.
- Frøen, J. F., Cacciatore, J., McClure, E. M., Kuti, O., Jokhio, A. H., Islam, M., & Shiffman, J. (2011). Stillbirths: why they matter. The Lancet, 377(9774), 1353-1366.
- Granero-Moya, N., Frías-Osuna, A., Barrio-Cantalejo, I. M., & Ramos-Morcillo, A. J. (2016). Dificultades de las enfermeras de atención primaria en los procesos de planificación anticipada de las decisiones: un estudio cualitativo. Atención Primaria, 48(10), 649-656.
- Heazell, A. E., Wojcieszek, A., Graham, N., & Stephens, L. (2019). Care in pregnancies after stillbirth and perinatal death. International Journal of Birth and Parent Education, 6(2), 23-28.
- Henderson, A. (2001). Emotional labor and nursing: an under-appreciated aspect of caring work. Nursing Inquiry, 8(2), 130-138. https://doi.org/10.1046/j.1440-1800.2001.00097.x
- Hochschild, A. (1983). The Managed Heart University of California Press. Berkeley CA.
- Houck, D. (2014). Helping nurses cope with grief and compassion fatigue: an educational intervention. Clinical Journal of Oncology Nursing, 18(4).
- Hunter, B., & Smith, P. (2007). Emotional labour: Just another buzz word?
- Hutti, M. H., Polivka, B., White, S., Hill, J., Clark, P., Cooke, C., . . . Abell, H. (2016). Experiences of Nurses Who Care for Women After Fetal Loss. J Obstet Gynecol Neonatal Nurs, 45(1), 17-27. https://doi.org/10.1016/j.jogn.2015.10.010
- Huynh, T., Alderson, M., & Thompson, M. (2008). Emotional labour underlying caring: an evolutionary concept analysis. Journal of advanced nursing, 64(2), 195-208.
- Joanna Briggs Institute. (2016). Critical appraisal checklist for qualitative research. In: Adelaide: University of Adelaide, Joanna Briggs Institute. Available at: http://joannabriggs. org/research/criticalappraisal-tools. html (accessed 7 July 2016).
- Kolte, A. M., Bernardi, L. A., Christiansen, O. B., Quenby, S., Farquharson, R. G., Goddijn, M., & Stephenson, M. D. (2015). Terminology for pregnancy loss prior to viability: a consensus statement from the ESHRE early pregnancy special interest group. Human Reproduction, 30(3), 495-498. https://doi.org/10.1093/humrep/deu299
- Koopmans, L., Wilson, T., Cacciatore, J., & Flenady, V. (2013). Support for mothers, fathers and families after perinatal death. Cochrane Database of Systematic Reviews(6). http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000452.pub3/abstract
- Lachal, J., Revah-Levy, A., Orri, M., & Moro, M. R. (2017). Metasynthesis: an original method to synthesize qualitative literature in psychiatry. Frontiers in psychiatry, 8.
- Lemetti, T., Stolt, M., Rickard, N., & Suhonen, R. (2015). Collaboration between hospital and primary care nurses: a literature review. International Nursing Review, 62(2), 248-266.
- Lindseth, A., & Norberg, A. (2004). A phenomenological hermeneutical method for researching lived experience. Scandinavian journal of caring sciences, 18(2), 145-153.
- López García de Madinabeitia, A. P. (2011). Duelo perinatal: un secreto dentro de un misterio. Revista de la Asociación Española de Neuropsiquiatría, 31(1), 53-70.
- Maturo, A. (2012). Medicalization: current concept and future directions in a bionic society. Mens sana monographs, 10(1), 122.
- McCreight, B. S. (2004). A grief ignored: narratives of pregnancy loss from a male perspective. Sociol Health Illn, 26(3), 326-350. https://doi.org/10.1111/j.1467-9566.2004.00393.x
- McCreight, B. S. (2005). Perinatal grief and emotional labour: a study of nurses' experiences in gynae wards. Int J Nurs Stud, 42(4), 439-448. https://doi.org/10.1016/j.ijnurstu.2004.07.004
- Neimeyer, R. A. (2001). Meaning reconstruction & the experience of loss. American Psychological Association.
- Noblit, G. W., & Hare, R. D. (1988). Meta-ethnography: Synthesizing qualitative studies (Vol. 11). sage.
- Papadatou, D. (2000). A proposed model of health professionals' grieving process. OMEGA-Journal of Death and Dying, 41(1), 59-77.
- Papadatou, P. D. (2009). In the face of death: Professionals who care for the dying and the bereaved. Springer Publishing Company.
- Peters, M. D. J., Lisy, K., Riitano, D., Jordan, Z., & Aromataris, E. (2016). Providing meaningful care for families experiencing stillbirth: A meta-synthesis of qualitative evidence. Journal of Perinatology, 36(1), 3-9. https://doi.org/10.1038/jp.2015.97
- Phillips, S. (1996). Labouring the emotions: expanding the remit of nursing work? Journal of advanced nursing, 24(1), 139-143.
- Purandare, N., Ryan, G., Ciprike, V., Trevisan, J., Sheehan, J., & Geary, M. (2012). Grieving after early pregnancy loss--a common reality. Ir Med J, 105(10), 326-328.
- Ricoeur, P. (1976). Interpretation theory: Discourse and the surplus of meaning. TCU press.
- Roehrs, C., Masterson, A., Alles, R., Witt, C., & Rutt, P. (2008). Caring for families coping with perinatal loss. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 37(6), 631-639. https://doi.org/10.1111/j.1552-6909.2008.00290.x
- Sjølie, B. M., Hartviksen, T. A., & Bondas, T. (2020). “Navigation to prioritizing the patient”–first-line nurse managers’ experiences of participating in a quality improvement collaborative. BMC Health Services Research, 20(1), 55.
- Strandås, M., & Bondas, T. (2018). The nurse-patient relationship as a story of health enhancement in community care: A meta-ethnography. Journal of Advanced Nursing, 74(1), 11-22. https://doi.org/10.1111/jan.13389
- Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197-224. https://doi.org/10.1080/074811899201046
- Tong, A., Flemming, K., McInnes, E., Oliver, S., & Craig, J. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology, 12(1), 181. https://doi.org/10.1186/1471-2288-12-181
- Zomorodi, M., & Lynn, M. R. (2010). Critical care nurses' values and behaviors with end-of-life care: perceptions and challenges. Journal of Hospice & Palliative Nursing, 12(2), 89-96.